NPI 1093014276

Pathways to Change, LLC

Organisation Community/Behavioral Health Agency Casper, WY

Practice location

Address: 3211 Energy Ln Suite 206, Casper, WY 82604-2941
Phone: (307) 265-4000
Fax: (307) 265-4000

Authorised official

Name: Kelly Heenan
Title: Co-Owner
Phone: (307) 265-4000

Registered specialties (3)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LPC 1059 (WY)

Other Community/Behavioral Health providers in Wyoming →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence LPC 1073 (WY)

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence LMFT 139 (WY)

Registry record

NPI: 1093014276
Entity type: Organization
NPI issued: 27 Mar 2011
Record last updated: 21 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.